La Jolla Emergency Enterprises, Inc. - Medicare Primary Care in Glendale, CA

La Jolla Emergency Enterprises, Inc. is a medicare enrolled primary clinic (Internal Medicine) in Glendale, California. The current practice location for La Jolla Emergency Enterprises, Inc. is 1101 N. Pacific Ave., Suite 104, Glendale, California. For appointments, you can reach them via phone at (818) 552-5000. The mailing address for La Jolla Emergency Enterprises, Inc. is 6136 Cardeno Dr, La Jolla, California and phone number is (858) 361-8004.

La Jolla Emergency Enterprises, Inc. is licensed to practice in California (license number A61433). The clinic also participates in the medicare program and its NPI number is 1447532650. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 552-5000.

Contact Information

La Jolla Emergency Enterprises, Inc.
1101 N. Pacific Ave.
Suite 104
Glendale
CA 91202-4313
(818) 552-5000
(818) 956-0990

Primary Care Clinic Profile

Full NameLa Jolla Emergency Enterprises, Inc.
SpecialityInternal Medicine
Location1101 N. Pacific Ave., Glendale, California
Authorized Official Name and PositionTalal Abdullah Al-quraini (PRESIDENT/OWNER)
Authorized Official Contact8583618004
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
La Jolla Emergency Enterprises, Inc.
6136 Cardeno Dr
La Jolla
CA 92037-6924

Ph: (858) 361-8004
La Jolla Emergency Enterprises, Inc.
1101 N. Pacific Ave.
Suite 104
Glendale
CA 91202-4313

Ph: (818) 552-5000

NPI Details:

NPI Number1447532650
Provider Enumeration Date09/13/2011
Last Update Date03/04/2013

Medicare PECOS Information:

Medicare PECOS PAC ID9537327374
Medicare Enrollment IDO20120223000995

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Medical Identifiers

Medical identifiers for La Jolla Emergency Enterprises, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447532650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A61433 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. La Jolla Emergency Enterprises, Inc. acts as a billing entity for following providers:
Provider NameTalal A Al-quraini
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316955446
PECOS PAC ID: 9537264031
Enrollment ID: I20070411000338

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